NPIMap

Organization Active NPI

Lifetime Solutions Agency, LLC

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1821751769
Registry record updated May 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIFETIME SOLUTIONS AGENCY, LLC
Practice address
5757 Waterford District Dr
Miami, FL 33126-2058
Phone
(954) 613-3337
Fax
(954) 613-7893
NPI assigned
Oct 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Diana Maria Rodriguez Blandino, CBHCMNPI 1730732876
Title
Executive Director
Phone
(619) 538-5281

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5757 Waterford District Dr
Miami, FL 33126-2058

Mailing address

801 S Federal Hwy Ste 835
Dania Beach, FL 33004-4374
Phone (954) 613-3337

National Provider Directory

National Provider Directory
Tax ID family
Lifetime Solutions Agency LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

801 S Federal Hwy
Ste 835
Dania Beach, FL 33004
Phone (954) 613-7683

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716076800000",
    "number": "1821751769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S FEDERAL HWY STE 835",
            "city": "DANIA BEACH",
            "state": "FL",
            "postal_code": "330044374",
            "telephone_number": "954-613-3337",
            "fax_number": "954-613-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WATERFORD DISTRICT DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262058",
            "telephone_number": "954-613-3337",
            "fax_number": "954-613-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME SOLUTIONS AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2024-05-19",
        "certification_date": "2024-05-19",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ BLANDINO",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "619-538-5281",
        "authorized_official_credential": "CBHCM"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.